DEVELOP & BUILD

Economic growth is our major priority. Find information about residential, commercial and Shire development including town planning, building services, environmental health, economic and business information and support.

COMMUNITY SUPPORT

The Shire of Northam is a vibrant growing community that is safe, caring and inclusive. Find information for new residents, community services and programs including youth, seniors and access and inclusion.

RECREATION & ATTRACTIONS

Our Shire is as unique as the experiences that lie within. Find information about things to see and do, local attractions and check what events are on. Book Council's facilities and venues and find information on sport, recreation and leisure facilities.

Community Grants Financial Acquittal and Feedback Form

= Required Fields

Organisation Name *

Grant Purpose *

Grant Amount *

I declare that the Shire of Northam Community Grant as specified above has been spent in accordance with the purpose and conditions for which it was granted. The attached financial acquittal and project evaluation are a true and correct record of the transactions and outcomes of the project.

Name *

Position Held *

Organisation Name *

Date *

Please attach Statement of Income and Expensiture

Please attache Copies of Invoices / Evidence of Expenditure

Please attach evidence of project outcomes and acknowledgement of Shire of Northam

You are required to complete the statement of income and expenditure, unused funds (if applicable), schedule of donated materials and volunteer labour (if applicable) and to provide copies of invoices and / or other evidence of expenditure for all items expended with Shire of Northam funding.

Was the project completed in accordance with the project plan and were the expected outcomes achieved? Please elaborate on the outcomes, including how many people benefited and how they benefited from the project. (Please provide evidence of outcomes including attendance figures etc.) *

Please detail how the Shire of Northam’s contribution to the project has been recognised and acknowledged. *